Expectant mothers in the US today have a 30% chance of having a cesarean. Statistics in Canada for cesareans are similar, while many countries in Europe continue to be lower. Countries such as Brazil and Mexico have cesarean rates that range from 50-90% among affluent women.

While many factors play into the increasing cesarean rate worldwide, it is not uncommon for the average expectant mother with her first baby to hear that her baby is simply "too big" and that there is no value in a trial of labor. The rationale that is often used is to ask why would mother would want to go through labor only to end up with a cesarean?

We now have evidence that shows there may indeed be a good reason to allow and even encourage women to go into labor spontaneously (especially if she would be interested in having vaginal births in the future) rather than scheduling a cesarean without any medical indication.

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